Tara Greendyk M.D.

NPI 1992904460 - Pediatrics - 208000000X

NPI Details
NPI 1992904460
Gender Female
Enumeration Date 07/16/2007
Last Updated 10/19/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
4900 MUELLER BLVD
AUSTIN TX, 78723-3079, US
Phone (512) 324-0165
Fax
Business Location
4900 MUELLER BLVD
AUSTIN TX, 78723-3079, US
Phone (512) 324-0165
Fax
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number N2535
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According to our database, Tara Greendyk M.D. NPI is 1992904460, taxonomy code is 208000000X and license number is N2535, license state is located at Texas. Tara Greendyk M.D. physically located at 4900 Mueller Blvd, Austin TX, 78723-3079. NPI Number Tara Greendyk M.D. has the Individual type.

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1992904460 NPI number is provided on an as is basis without warranty of any kind. 1992904460 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Greendyk M.D. are for informational purposes only.